Total elbow joint replacement for elbow arthritis: Surgery with a dependable, time-tested prosthesis can lessen pain and improve function in elbows, especially in rheumatoid arthritis of the elbow
Edited By: Frederick A. Matsen III, M.D., Winston J. Warme, MD
Last updated Wednesday, December 23, 2009
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Figure 3 - X-ray of elbow joint replacement Figure 4 - X-ray of elbow joint replacement Figure 5 - X-ray of elbow joint replacement About the procedureTechnical details Elbow joint replacement surgery is a highly technical procedure; each step plays a critical role in the outcome.
After the anesthetic has been administered and the elbow has been
prepared, an incision is made along the inside of the arm, from three
inches above the elbow to three inches below it. This incision allows
access to the joint without damaging the important muscles that are
responsible for the elbow's motion. The ulnar nerve (the one that is
bumped when one hits the "crazy bone") is isolated to protect it during
the procedure; as a result, the little finger is sometimes numb for a
period of time after this surgery.
The muscles and other tissues near the elbow are mobilized by
removing any scar tissue that may restrict their motion. The capsule is
released in front of and behind the elbow joint.
The bone of the lower end of the humerus (upper arm bone) and the
upper end of the ulna (one of the forearm bones) are fit to receive
their respective implants. The components are stabilized by cementing
their stems inside the bones using polymethylmethacrylate (bone
cement). Once the implants are securely fixed, they are linked together
using a hinge pin. Figures 3, 4, and 5 show the joint replacement from
the front and from the side in the straight and bent positions.
At the conclusion of the procedure, the deep tissues and skin are closed and a protective dressing is applied.
Anesthetic Total elbow joint replacement surgery may be performed under a
general anesthetic or a brachial plexus nerve block. A brachial plexus
block can provide anesthesia for several hours after the surgery. The
patient may wish to discuss their preferences with the anesthesiologist
before surgery.
Length of elbow replacement surgery The procedure usually takes approximately two hours. However, the
preoperative preparation and the postoperative recovery may add several
hours to this time. Patients often spend two hours in the recovery room
and two to four days in the hospital after surgery.Surgery for Elbow arthritis at the University of Washington, Department of Orthopaedics and Sports Medicine, Seattle, Washington If you are interested in making an appointment to discuss this procedure in Seattle, you can request an appointment using our online referrals website. To request a referral online, please click here. You can also call 206-598-BONE (2663) to make an appointment. Our clinical center is located in Seattle Washington, USA
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